Individual provider Active NPI

Dilafruz Khakimova

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1902388762
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60853773 Issued in WA
Practice address
2100 N 45TH St
Seattle, WA 98103-6902
Phone
(206) 633-1536
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60853773 WA Primary

Addresses

Primary practice location

2100 N 45TH St
Seattle, WA 98103-6902

Mailing address

2035 4TH Ave
Seattle, WA 98121-2414
Phone (206) 448-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PH60853773WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington CVS Pharmacy LLC PastSince Mar 29, 2020 Accepting new patients
Washington CVS Pharmacy LLC PastSince Mar 29, 2020 Accepting new patients
Washington CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1902388762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 4TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212414",
            "telephone_number": "206-448-2002",
            "fax_number": "206-973-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036902",
            "telephone_number": "206-633-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAKIMOVA",
        "first_name": "DILAFRUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60853773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.